Cardiogenic Shock Due to Leaflet Migration of On-X Aortic Mechanical Prosthesis.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32114040.
- Also identified by DOI 10.1016/j.athoracsur.2020.01.023.
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Abstract
Cardiogenic shock is a life-threatening condition requiring fast and efficient diagnostic and therapeutic measures. In this case, the history of several cardiac surgeries hindered finding the correct diagnosis initially. After an ultima ratio cardiac redo operation the underlying cause was found intraoperatively: a defective mechanical valve prosthesis with migration of one of the two leaflets. Strikingly, this happened with a contemporary On-X prosthesis only 4 years after implantation. Timely echocardiography is of utmost importance in patients with prosthetic heart valves presenting in heart failure.
Medical subject headings
- Foreign-Body Migration
- Heart Valve Prosthesis
- Mitral Valve Insufficiency
- Prosthesis Failure
- Shock, Cardiogenic